Individuals: Download a coverage application.
To submit a group application, fill out one Group Entity application and one application for each employed physician and employed non-physician you are seeking coverage for. You can also use our easy online enrollment process. Contact your agent or fill out a quote form to get started.
• Group Application: Download a coverage application.
• Physicians: Download a coverage application.
• Non-Physicians: Download a coverage application.
Policy Specimen – Download our complete Professional Liability Policy Specimen. Note that each state has an amendatory endorsement that may alter certain terms and provisions of the policy specimen.
Fraud Warning – For a listing of Application Fraud Warnings by state.
Business Associate Agreement - CPIC - Download our complete Agreement.
Business Associate Agreement - GSIC - Download our complete Agreement.
